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A Preoperative Scale for Determining Surgical Readmission Risk After Total Hip Replacement Authors: Siracuse BL, Chamberlain RS JAMA Surg. 2016 Mar Study Summary In this study, investigators analyzed retrospective discharge data on 268,518 patients from New York and California (ie, the derivation cohort) and 153,560 patients from Florida and Washington (ie, the validation cohort) who […]
Read MoreIntraoperative injection of local anaesthetic into the transverse abdominis plane (TAP) after cesarean section (C-section) is equally as effective as using ultrasound to guide the injection, according to research presented at the 2016 Annual Clinical Meeting of the American College of Obstetricians and Gynecologists (ACOG) Lead author Deepa Maheswari Narasimhulu, MD, Maimonides Medical Center, Brooklyn, […]
Read MoreFewer than 7% reported taking advantage of “take-back” programs to turn in unused pain medication to pharmacies, police departments, or the Drug Enforcement Administration for disposal. Opioid overuse is already at a crisis level, but a compounding factor is that leftover pills aren’t being disposed of properly. Often, pills are saved for later and even […]
Read MoreAnesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 2017–2027 AUTHORS: O’Neill, Liam PhD et al In this article, we consider the privacy implications of posting data from small, randomized trials, observational studies, or case series in anesthesia from a few (e.g., 1–3) hospitals. Prior to publishing such data as supplemental […]
Read MoreAnesthesia & Analgesia: May 2016 AUTHORS: Schwartz, Lawrence I. MD et al BACKGROUND: Dexmedetomidine is a selective [alpha]-2 receptor agonist with a sedative and cardiopulmonary profile that makes it an attractive anesthetic for pediatric patients with congenital heart disease (CHD). Although several smaller, single-center studies suggest that dexmedetomidine use is gaining traction in the perioperative […]
Read MoreAverage direct costs of fibromyalgia syndrome (FMS) add up to C$3804 per patient each year, new data from Canada show. Overall, the data demonstrate the substantial societal burden of the disease. A similar burden has been found in studies conducted in the United States, where the disorder affects nearly 5 million adults, according to the […]
Read MoreThe use of moderate sedation leads to better clinical outcomes compared with general anaesthesia for patients undergoing transcatheter aortic valve replacement (TAVR). Researchers conducted the largest observational study of minimally invasive transfemoral TAVR to find whether the use of moderate sedation is associated with improved patient outcomes, specifically evaluating 30-day mortality and length of hospital […]
Read MorePatients with coexistent Parkinson’s disease (PD) and cervical spondylotic myelopathy (CSM) may experience a marked reduction in pain symptoms following cervical decompression, according to results of a matched cohort-controlled retrospective review study presented at the 84th Annual Meeting of the American Association of Neurological Surgeons (AANS). Parkinson’s disease, however, when isolated as a significant independent […]
Read MoreThe use of spray cryotherapy (SCT) for airway lesions demands stellar intraoperative airway management and vigilance for intraoperative desaturations. “The fact that we are putting liquid nitrogen into the airway, and only doing intermittent ventilation in some cases, in patients who often have diseased lungs to begin with—that demands intraoperative vigilance,” explained Megan Friedman, DO, […]
Read MoreFinders keepers, losers weepers. Except in connection with overpayments from Medicare, then it’s a violation of the federal False Claims Act leading to significant liability—that is, unless you repay the overpaid sum within 60 days. But when does the 60-day period begin? On Feb. 12, the Centers for Medicare & Medicaid Services (CMS) answered that […]
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